Brand name:

Tussionex

Why is Tussionex prescribed?

Tussionex Extended-Release Suspension is a cough-suppressant/antihistamine combination used to relieve coughs and the upper respiratory symptoms of colds and allergies. Hydrocodone, a mild narcotic similar to codeine, is believed to work directly on the cough center. Chlorpheniramine, an antihistamine, reduces itching and swelling and dries up secretions from the eyes, nose, and throat.

Most important fact about Tussionex

This medication can cause considerable drowsiness and make you less alert. You should not drive or operate machinery or participate in any activity that requires full mental alertness until you know how you react to Tussionex.

How should you take Tussionex?

Tussionex should be taken exactly as prescribed.

It should not be diluted with other liquids or mixed with other drugs. Shake well before using.

--If you miss a dose...

If you take Tussionex on a regular schedule, take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store at room temperature in a tightly closed container.

Tussionex side effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Tussionex.

• Side effects may include:
  Anxiety, constipation, decreased mental and physical performance, difficulty breathing, difficulty urinating, dizziness, drowsiness, dry throat, emotional dependence, exaggerated feeling of depression, extreme calm (sedation), exaggerated sense of well-being, fear, itching, mental clouding, mood changes, nausea, rash, restlessness, sluggishness, tightness in chest, vomiting

Why should Tussionex not be prescribed?

Do not take Tussionex if you are sensitive to or have ever had an allergic reaction to hydrocodone or chlorpheniramine. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Tussionex

Tussionex contains a mild narcotic that can cause dependence and tolerance when the drug is used for several weeks. However, it is unlikely that dependence will develop when Tussionex is used for the short-term treatment of a cough.

Like all narcotics, Tussionex may produce slowed or irregular breathing. If you have lung disease or a breathing disorder, use Tussionex cautiously.

Use Tussionex with care if you have the eye condition known as narrow-angle glaucoma, asthma, an enlarged prostate gland, urinary difficulties, an intestinal disorder, liver or kidney disease, an underactive thyroid gland, or Addison's disease (a disorder of the adrenal glands), or if you have recently suffered a head injury.

Extra caution should be used when giving Tussionex to the elderly and those in a weakened condition.

Remember that Tussionex can cause drowsiness.

Narcotics can cause intestinal blockage or mask a severe abdominal condition.

Possible food and drug interactions when taking Tussionex

Tussionex may increase the effects of alcohol. Do not drink alcohol while taking Tussionex.

If Tussionex is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Tussionex with the following:

Antispasmodic medications such as Bentyl and Cogentin
Major tranquilizers such as Thorazine and Compazine
MAO inhibitor drugs (antidepressant drugs such as Nardil and Parnate)
Medications for anxiety such as Xanax and Valium
Medications for depression such as Elavil and Prozac
Other antihistamines such as Benadryl
Other narcotics such as Percocet and Demerol

Special information if you are pregnant or breastfeeding

The safety of Tussionex during pregnancy has not been adequately studied. However, babies born to mothers who have been taking narcotics regularly before delivery will be born addicted. If you are pregnant or plan to become pregnant, inform your doctor immediately. Tussionex may appear in breast milk and could affect a nursing infant. If Tussionex is essential to your health, your doctor may recommend that you stop breastfeeding until your treatment with Tussionex is finished.

Recommended dosage for Tussionex

ADULTS

Overdosage

Any medication taken in excess can have serious consequences. A narcotic overdose can be fatal. If you suspect an overdose, seek medical treatment immediately.

• Symptoms of Tussionex overdose may include:
  Blue skin color due to lack of oxygen, cardiac arrest, cold and clammy skin, decreased or difficult breathing, extreme sleepiness leading to stupor or coma, low blood pressure, muscle flabbiness, slow heartbeat, temporary cessation of breathing